Walmart Inc.

NPI #1619994084 in Eagan, Minnesota

Provider Information

NPI Number
1619994084
Entity Type
Organization
Organization Name
Walmart Inc.
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 16, 2006
Last Updated
Jun 17, 2025

Practice Location

Address
1360 TOWN CENTRE DR
City
Eagan
ZIP Code
55123-2310
Phone
(651) 686-7431

Authorized Official

Name
KIMBERLY CANONIC
Title
SENIOR DIRECTOR, ENROLLMENT
Phone
(480) 853-0515

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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